Research Article

Improving Clinical Nurses’ Development of Supervision Skills through an Action Learning Approach

Table 1

Instrumental supplement to the Model of Practical Skill Performance (http://www.rins.dk).

Definition of categories in the modelCharacteristics of quality performance

Substance and sequence are the core aspects of a practical skill. They imply that necessary steps in the skill are included and performed in a logical order.Substance and sequence are determined on the basis of the content in clinical guidelines, professional standards, and principles.
Substance and sequence are adapted to the patient and the situation where the skill is being performed.

Accuracy refers to exactness of each movement step, instruction, and information. Accuracy is important in order to ensure security of the patient, nurse, and environment.Accuracy implies to act
(i) Correctly
(ii) Precisely
Accuracy implies to inform and instruct
(i) What is necessary and sufficient
(ii) Distinctly
(iii) Understandably

Fluency signifies that tempo and rhythm are adjusted to both the patient and the type of the practical skill being performed and that the practical skill is performed with smoothness.Fluency implies to act, inform, and instruct
(i) Without hesitancy
(ii) Without unnecessary breaks
(iii) With ease

Integration signifies that all parallel aspects within the practical skill are harmonized.
Integration also means that the practical skill, as a whole, is adjusted to the patient’s current condition and situation.
Integration implies to
(i) Time and coordinate the elements of action
Integration related to adjustment implies to
(i) Be attentive
(ii) Have an overview
(iii) Be flexible

Caring comportment signifies to create an atmosphere where the patient’s dignity is upheld, self-determination is ensured according to the patient’s current condition and situation, and well-being is warranted.Caring comportment implies to
(i) Acknowledge
(ii) Show respect
(iii) Ensure patient participation
(iv) Be empathic
(v) Use appropriate touch
(vi) Be engaged
(vii) Use appropriate communication
(viii) Work aesthetically